How much of the burden of schizophrenia is alleviated by treatment?
- 1 November 2003
- journal article
- Published by Royal College of Psychiatrists in The British Journal of Psychiatry
- Vol. 183 (5) , 375-376
- https://doi.org/10.1192/bjp.183.5.375
Abstract
A conclusion of the Andrews team’s research, not directly referred to in this article, is that the cost-effectiveness of the treatment of schizophrenia in reducing disease burden is substantially lower than that of the treatment of anxiety and depressive disorders. There are problems with their conclusion, however. The Andrews team’s approach to calculating the years lived with disability (YLDs) averted by treatment is a new and relatively untested field. The team computes treatment-related changes in the disability weight in the YLD formula from estimates of the effect size of interventions in the published research on clinical interventions. Although this methodology may be adequate for measurement of the burden of anxiety and depression, it is likely that, in the case of schizophrenia, much of the burden of the illness is not captured by the approach.Keywords
This publication has 14 references indexed in Scilit:
- Cost-effectiveness of current and optimal treatment for schizophreniaThe British Journal of Psychiatry, 2003
- Patterns of Usual Care for Schizophrenia: Initial Results From the Schizophrenia Patient Outcomes Research Team (PORT) Client SurveySchizophrenia Bulletin, 1998
- Models of Community Care for Severe Mental Illness: A Review of Research on Case ManagementSchizophrenia Bulletin, 1998
- An update on supported employment for people with severe mental illnessPsychiatric Services, 1997
- Point prevalence of mental disorder in unconvicted male prisoners in England and WalesBMJ, 1996
- Prevalence of mental disorder in remand prisoners: consecutive case studyBMJ, 1996
- Psychopathology, Social and Cognitive Functioning in a Hostel for Homeless WomenThe British Journal of Psychiatry, 1996
- Psychiatric Disorder in Women Serving a Prison SentenceThe British Journal of Psychiatry, 1994
- Out of the wards and onto the streets? Deinstitutionalization and homelessness in BritainJournal of Mental Health, 1992
- Treatment needs of prisoners with psychiatric disorders.BMJ, 1991